Fatores de proteção para a amamentação na primeira hora de vida

Abstract

Objectives: To identify the factors associated to breastfeeding in the first hour (BFH) among children of pregnant women enrolled in Family Health Units (FHU) in Vitoria-ES. Methods: Longitudinal, observational and descriptive study. Socioeconomic and health data of women in third trimester of pregnancy enrolled in FHU were collected in home visits from October to December 2009. A further visit was made 30 days after delivery, to collect data on the childbirth and breastfeeding conditions. The prevalence of BFH was calculated and analyzed according to socioeconomic and health variables, using the chi-square or Fischer’s exact test. The associated factors were identified through multivariate logistic regression. Results: The study obtained data from 169 puerperal women and their babies. The prevalence of BFH was about 63% (107). Statistically significant association was found between BFH and type of delivery (p=0.007), rooming-in (p<0.001), maternal educational level (p=0.03), apprehension/fear of breastfeeding (p=0.06) and educational level of the householder (p=0.02). Conclusions: The variables that were associated with BFH were vaginal delivery and rooming-in. Breastfeeding in the first hour of life should be encouraged in maternity wards, mainly with rooming-in practice, since it can positively influence the total time of breastfeeding. doi:10.5020/18061230.2013.p274